Interventions and strategies to prevent catheter‐associated urinary tract infections with short‐term indwelling urinary catheters in hospitalized patients: An integrative review

Yu, Shuiliang; Marshall, Andrea P.; Li, Jing; Lin, Frances

doi:10.1111/ijn.12834

Cited by 10 publications

(9 citation statements)

References 51 publications

(96 reference statements)

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“…The scale adopts a percentage system, with >90 being very satisfied, 76-90 being satisfied, 60-75 being dissatisfied, and <60 being very dissatisfied. (7) The knowledge, attitude, and practice (KAP) scale for prevention of catheter infection and the evaluation scale of nurses ability were used to evaluate the sense of control ability and core ability of nurses. The KAP scale for prevention of catheter infection included four dimensions including attitude, behavior, indication of catheter placement, and infection prevention strategy and it consisted of 71 items, with 1-5 points for each item.…”

Section: Observation Indicatorsmentioning

confidence: 99%

“…Improper catheterization will damage the urethra and bladder mucosa and long-term indwelling will weaken the function of detrusor. Urine calcium salt deposition will block the urinary catheter, resulting in urine leakage and damage to the natural defense barrier of the urinary tract, causing bacterial colonization or infection (7). At present, care of clinical nurses for indwelling urinary catheter is still based on Basic Nursing Science, but there are still differences in nursing measures such as selection of urinary catheter of different departments and materials, frequency of urine bag replacement, timing of catheter removal, and evaluation and rehabilitation of bladder function after catheter removal, which have resulted in long time of indwelling urinary catheter in some patients, increased probability of urethral injury and infection, and deepened doctor-patient contradiction (8,9).…”

Section: Introductionmentioning

confidence: 99%

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Effect of Cluster Nursing Based on Risk Management Strategy on Urinary Tract Infection in Patients With Severe Craniocerebral Injury

Qiao¹,

Yang

Wang³

2022

Front. Surg.

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ObjectiveTo observe the effect of cluster nursing based on risk management strategy in the management of urinary tract infection in patients with severe craniocerebral injury.MethodsA total of 116 patients with severe craniocerebral injury who were admitted to our hospital from March 2019 to March 2021 were included. They were divided into the control group (58 patients) and the observation group (58 patients). The control group received routine nursing care and the observation group received cluster nursing based on risk management strategy. The incidence of catheter-associated urinary tract infection (CAUTI), the results of bacterial culture on the surface of the urinary catheter, the incidence of nursing risk events, the duration of placing the urinary catheter, the length of hospital stay, and hospital costs as well as the patient satisfaction score were compared between the two groups. The knowledge, attitude, and practice scale for prevention of catheter infection and the competence evaluation scale of nurses were used to evaluate the sense-control ability and core competence of the interveners.ResultsThe total incidence of CAUTI in the observation group was (6.90%) lower than that in the control group (20.69%) (p < 0.05). The bacterial culture results on the catheter surface of patients in the observation group before and after 6 and 12 h of catheter cleaning were better than those of patients in the control group (p < 0.05). The duration of indwelling urinary catheter, hospitalization time, and hospitalization expenses of patients in the observation group were lower than those of patients in the control group (p < 0.05). The incidence rate of nursing risk events in the observation group was (1.72%) lower than that in the control group (11.86%) (p < 0.05). The overall satisfaction score of patients and the control and core ability scores of nursing staff in the observation group were higher than those in the control group (p < 0.05).ConclusionCluster nursing based on risk management strategy can effectively reduce the incidence of nursing risk events and the probability of UTI in patients with severe craniocerebral injury, shorten the duration of indwelling urinary catheter and hospitalization.

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Section: Observation Indicatorsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Cluster Nursing Based on Risk Management Strategy on Urinary Tract Infection in Patients With Severe Craniocerebral Injury

Qiao¹,

Yang

Wang³

2022

Front. Surg.

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“…Including device checklists and templates in electronic records has demonstrated marked improvements in prompt vascular access and urinary catheter removal in several studies (Aufricht et al, 2019;Shadle et al, 2021;Tarrago et al, 2014). Documentation of device decisions should be incorporated into electronic medical records, with automated stop orders, as appropriate (Yu et al, 2020).…”

Section: Document Your Decisionmentioning

confidence: 99%

“…Implementation studies of multimodal bundles, including daily prompts of device necessity, have achieved reduction in utilization of IUCs (Gazarin et al, 2020;Giles et al, 2020;Kuriyama et al, 2019;Niederhauser et al, 2019;Schweiger et al, 2020), CVADs (Kara et al, 2016;Kleinman Sween et al, 2021;Walz et al, 2015;Xiong & Chen, 2018), CVADs and IUCs (Chandramohan et al, 2018;Kaminski et al, 2021;Mena Lora et al, 2020), IUCs and PIVCs (Laan et al, 2020), andPIVCs (Egerton-Warburton et al, 2019;Mestre et al, 2013;Yagnik et al, 2017). Interventions that employ education, daily reminders, and automated stop-orders demonstrate greater clinician awareness of device use and prompt removal of unnecessary devices, with subsequent reductions in complications and infections (Kleinman Sween et al, 2021;Meddings et al, 2020;Mitchell et al, 2019;Yu et al, 2020), but continued vigilance is crucial (Chandramohan et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

I-DECIDED® – A decision tool for assessment and management of invasive devices in the hospital setting

Ray‐Barruel¹

2021

Vasc Acc

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Indwelling medical devices, including vascular access and urinary catheters, pose a risk for infection, and therefore daily assessment and consideration of their continued need is a patient safety priority. The I-DECIDED® device assessment and decision tool is an evidence-based checklist, designed to improve the assessment, care, and timely removal of invasive devices in acute hospitalized patients. This paper explains each step of the tool, with rationale for inclusion.

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“…Permanent transurethral catheterisation with a Foley catheter is a widely used procedure both in hospitals and in the community, but is not without complications, the development of urinary tract infections (UTI) being the most frequent one 2 . The prevalence of UTI has been noted to be present in 80% of people with a catheter 1,3 and it is suggested that the bacterial colonization rate reaches an incidence of up to 95%, 4 weeks after insertion 4 . Other complications can include catheter obstruction, pericatheter leakage, bladder spasms, and trauma to the urethra or bladder endothelium, which can lead to perilesional stenosis 5 .…”

Section: Introductionmentioning

confidence: 99%

Indwelling catheter patient experiences and the potential usability and acceptance of the T‐Control® prototype urinary catheter

Toledo-Chávarri¹,

Bassas‐Parga²,

Endrenyi

et al. 2023

Int J of Uro Nursing

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The aim of this study was to analyse the experience of users of indwelling bladder catheters and evaluate the anticipated usability of a prototype of the T‐Control® urinary catheter (without being inserted) by patients who were able to compare the differences between the T‐Control® prototype and other urinary catheters and urinary catheter accessories. A qualitative study was conducted with people who had lived with an indwelling urinary catheter for at least 1 week. Two user‐centred design techniques were applied: patient experience trajectory map and Think Aloud, a method where the participants were able to express their previous experiences, expectations and preferences while manipulating the devices. The experiential trajectory was collected based on a semi‐structured following interviews. Participants were able to manipulate the new T‐Control® and, based on their previous experiences, compare the potential usability of T‐control® with Foley‐type catheter and its accessories All the participants stated that they had experienced negative emotions concerning bladder catheterisation during the trajectory of use, from the initial prescription and adaptation to the follow‐up, and the forced life changes that a permanent catheterisation implies. The most frequent emotions were rejection and sadness. The new T‐Control® device could potentially improve the patient experience, as all participants perceived advantages related to the closure system, ease of use, safety and discretion. Participants also noted its closure system as an advantage and highlighted its ease of use, although one‐handed operation required some learning. Catheters currently on the market are functional, but some patients do not always have a satisfactory experience. This might negatively affect their quality of life, so there is a wide market opportunity for new devices that improve clinical and psychological care. Based on patient evaluation, the new T‐Control® device with a built‐in valve could provide benefits for patients.

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Interventions and strategies to prevent catheter‐associated urinary tract infections with short‐term indwelling urinary catheters in hospitalized patients: An integrative review

Cited by 10 publications

References 51 publications

Effect of Cluster Nursing Based on Risk Management Strategy on Urinary Tract Infection in Patients With Severe Craniocerebral Injury

Effect of Cluster Nursing Based on Risk Management Strategy on Urinary Tract Infection in Patients With Severe Craniocerebral Injury

I-DECIDED® – A decision tool for assessment and management of invasive devices in the hospital setting

Indwelling catheter patient experiences and the potential usability and acceptance of the T‐Control® prototype urinary catheter

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